- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking a ** Claims Analyst ** to join the Office of General Counsel division. At OUC, we don't just work - ... Florida statutes to review and analyze property and liability claims for OUC. In this role, you will investigate,...In this role, you will investigate, negotiate, and settle claims in a professional, equitable, and consistent manner. You… more
- Publix (Lakeland, FL)
- **31050BR** **Position Title:** Pharmacy Quality Related Event Analyst , Customer Claims - Risk Mgmt **Department:** Risk Management **Location:** Lakeland, FL ... as a level one event into the Risk Master claims system. Primary duties include: + retrieving all reported...if an event should be escalated to a Customer Claims Unit (CCU) adjuster, + data entry of all… more
- Molina Healthcare (Orlando, FL)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and… more
- Molina Healthcare (Orlando, FL)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing requirements (1500 and UB04), provider and benefit ... configuration, and other claim reimbursement drivers + Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements. + Reviews, researches, analyzes and evaluates all… more
- AdventHealth (Altamonte Springs, FL)
- …spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data) analytics to gain insights into ... **Health Plan Data Analyst ** **Location:** Virtual **All the benefits and perks...utilizing analytical software tools and applications + Health Plan claims data knowledge This facility is an equal opportunity… more
- AdventHealth (Maitland, FL)
- …(Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in decision support and… more
- AdventHealth (Altamonte Springs, FL)
- …identifying and sharing insights that improve operational, clinical, and financial performance. The Analyst will use healthcare data ( claims , labs, MMR data, EHR ... **Senior Medicare Data & Finance Analyst ** **Location:** Virtual **All the benefits and perks...role will include leveraging data from electronic health records, claims , and payer reports by means of SQL queries,… more
- Sedgwick (Orlando, FL)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer IT Systems Analyst Specialist **PRIMARY PURPOSE** : To review, analyze and document software ... combination of education and experience required. Experience in multi-line claims management processes and system requirements preferred. **Skills & Knowledge**… more
- AssistRx (Orlando, FL)
- The Data Quality Analyst is responsible for acquiring, managing and analyzing data that will be presented to internal teams, clients and partners. The Data ... Analyst leads the onboarding of electronic data trading partners...issues. Successful applicants will have experience with Excel Pharmacy Claims experience is a huge plus Requirements + Developing… more
- The Walt Disney Company (Celebration, FL)
- …for the entire family. The Disney Cruise Line Risk Management's Business Systems Analyst role supervises the ongoing needs related to the successful operation of ... the Disney Cruise Line Incident Management System (DCLIMS), SeaCare, and the Claims Administration Reporting System (CARS). We are seeking a candidate who can… more
- Elevance Health (Altamonte Springs, FL)
- **Power BI Business Information Analyst Senior** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates ... GA, or Indianapolis, IN. The **Power BI** **Bu** **siness Information Analyst Senior** is responsible for analyzing, reporting, and developing recommendations on… more